# MENTAL EDGE THERAPY PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MENTAL EDGE THERAPY PROFESSIONAL LLC
- **Other names:** Mental Edge Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447850144
- **Legal business name:** MENTAL EDGE THERAPY PROFESSIONAL LLC
- **Authorized official:** MRS. NICOLE L MCDONAGH CP, LCADC, LCADC-S (OWNER)
- **Authorized official phone:** (702) 483-1990

## Contact information

- **Practice address:** 6362 MCLEOD DR STE 6, LAS VEGAS, NV 89120-4433
- **Practice address phone:** (702) 483-1990
- **Practice address fax:** (702) 831-8812
- **Mailing address:** 6362 MCLEOD DR STE 6, LAS VEGAS, NV 89120-4433
- **Mailing address phone:** (702) 483-1990
- **Mailing address fax:** (702) 831-8812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2020
- **Last updated:** 01/06/2025